DENTAL CARIES AND ITS DETERMINANTS AMONG CHILDREN WITH SPECIAL HEALTH CARE NEEDS IN DISTRICT KARACHI, PAKISTAN

Main Article Content

Rubab Jawed
Zohaib Khan
Zeeshan Kibria
Fayaz Ahmad

Abstract

OBJECTIVE: To determine the frequency and determinants of dental caries among children with special health care needs in the special needs schools of Karachi, Pakistan
METHODS: This cross-sectional study was conducted among 196 children (aged 6-18 years) attending the public and private sector special-needs schools of Karachi, Pakistan. Children with mental and/or physical disability were included in the study. Prevalence of dental caries determined oral examination using the Decayed Missing Filled Teeth and Decayed Filled Teeth (DMFT/dft) index. Parental education level, oral health knowledge and house-hold level socioeconomic status were measured through a structured questionnaire. Data were analyzed in SPSS version 20.
RESULTS: The overall frequency of dental caries was 58.2% with 70.3% and 55.3% prevalence in the public and private special needs schools. The mean DMFT/dft value was 1.85±2.28. The Down syndrome group had the highest mean (DMFT/dft=2.45±2.65), followed by the group including (vision impairment, autistic and cerebral palsy children) (DMFT/dft=2.05±2.51), Intellectual disability (DMFT/dft=1.70±2.01) and the deaf or hard of hearing group (DMFT/dft =1.49±2.27). Caries status was not significantly associated with gender (p=.518), socioeconomic status (p=.067), father education (p=.158) and mother education (p=.758).
CONCLUSION: The frequency of dental caries was high among children with disabilities in the Karachi district of Pakistan. The most important factor in improving the oral health status of these children is the awareness of their families by continuous community oriented medical and dental education programs.

Article Details

How to Cite
Jawed, R., Z. Khan, Z. Kibria, and F. Ahmad. “DENTAL CARIES AND ITS DETERMINANTS AMONG CHILDREN WITH SPECIAL HEALTH CARE NEEDS IN DISTRICT KARACHI, PAKISTAN”. KHYBER MEDICAL UNIVERSITY JOURNAL, Vol. 12, no. 1, Mar. 2020, pp. 19-24, doi:10.35845/kmuj.2020.19726.
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Original Articles

References

1. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003;31 (Suppl 1):3-23. DOI: 10.1046/j..2003.com122.x.
2. Ghimire N. Oral Health—An Integral Part of General Health. J Mass Communicat Journalism 2013;3(4):1000e138. DOI:10.4172/2165-7912.1000e138.
3. Al-Maweri SA, Zimmer S. Oral health survey of 6-14-year-old children with disabilities attending special schools Yemen. J Clin Pediatr Dent 2015;39(3):272-6. DOI: 10.17796/1053-4628-39.3.272.
4. Foster H, Fitzgerald J. Dental disease in children with chronic illness. Arch Dis Child 2005;90(7):703-8. DOI: 10.1136/adc.2004.058065.
5. Wills CD. DSM-5 and neurodevelopmental and other disorders of childhood and adolescence. J Am Acad Psychiatry Law 2014;42(2):165-72.
6. Purohit BM, Singh A. Oral health status of 12-year-old children with disabilities and controls in Southern India. WHO South East Asia J Public Health 2012;1(3):330-8. DOI: 10.4103/2224-3151.207029.
7. Bakry NS, Alaki SM. Risk factors associated with caries experience in children and adolescents with intellectual disabilities. J Clin Pediatr Dent 2012;36(3):319-24. DOI: 10.17796/jcpd.36.3.d716250117827056.
8. Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ 2005;83(9):661-9. DOI: /S0042-96862005000900011.
9. Shyama M, Al-Mutawa SA, Morris RE, Sugathan T. Dental caries experience of disabled children and young adults. Community Dent Health 2001;18(3):181-6.
10. Hassan MU, Mumtaz N. AI in Assisting the Elderly and People with Disabilities. Int J Res Eng 2016;3(8):35-9.
11. Bagramian RA, Garcia-Godoy F, Volpe AR. The global increase in dental caries. A pending public health crisis. Am J Dent 2009;22(1):3-8.
12. Khan AA. Prevalence of dental caries in school children of Lahore, Pakistan. Community Dent Oral Epidemiol 1992;20(3):155. DOI: 10.1111/j.1600-0528.1992.tb01551.x.
13. Blumberg SJ, Olson L, Frankel M, Osborn L, Becker CJ, Srinath KP, et al. Design and operation of the National Survey of Children with Special Health Care Needs, 2001. Vital Health Stat 1 2003;(41):1-136.
14. Rehman M, Kabir RH, Zehra A, Syeda K, Fatima N. Oral Health and General Health in Children Having Intellectual Disabilities: A Cross Sectional Study. J Islam Int Med Coll 2015;10(4):242-5.
15. Zeitlin C. How are the different age groups defined? [Cited on: July 15, 2019]. Available from URL: https://help.healthycities.org/hc/en-us/articles/219556208-How-are-the-different-age-groups-defined-.
16. Anaise JZ. Measurement of dental caries experience--modification of the DMFT index. Community Dent Oral Epidemiol 1984;12(1):43-6. DOI: 10.1111/j.1600-0528.1984.tb01408.x.
17. World Health Organization (WHO). Oral health surveys: basic methods 2013. [Cited on: July 15, 2019] Available from URL: https://apps.who.int/iris/bitstream/handle/10665/97035/9789241548649_eng.pdf;jsessionid=6B04632EBB27E3F039E38678EDEA4C19?sequence=1.
18. Khan Z, Dreger S, Shah SMH, Pohlabeln H, Khan S, Ullah Z, et al. Oral cancer via the bargain bin: The risk of oral cancer associated with a smokeless tobacco product (Naswar). PLoS One 2017;12(7):e0180445. DOI: 10.1371/journal.pone.0180445.
19. Morgan GA, Leech NL, Gloeckner GW, Barrett KC. IBM SPSS for introductory statistics: Use and interpretation. 2013. 5th edition. Routledge, Taylor & Francis, New York, USA.
20. Ditmyer M, Dounis G, Mobley C, Schwarz E. A case-control study of determinants for high and low dental caries prevalence in Nevada youth. BMC Oral Health 2010;10(1):24. DOI: 10.1186/1472-6831-10-24.
21. Oredugba FA, Akindayomi Y. Oral health status and treatment needs of children and young adults attending a day centre for individuals with special health care needs. BMC Oral Health 2008;8(1):30. DOI: 10.1186/1472-6831-8-30
22. Al-Qahtani C, Wyne A. Caries experience and oral hygiene status of blind, deaf and mentally retarded female children in Riyadh, Saudi Arabia. Odontostomatol Trop 2004:27(105):37-40.
23. Bhavsar JP, Damle SG. Dental caries and oral hygiene amongst 12-14 years old handicapped children of Bombay, India. J Indian Soc Pedod Prev Dent 1995;13(1):1-3.
24. Mohiuddin S. Dental caries status among 6 and 12 years old school children of Karachi City. J Pak Dent Assoc 2015;24(1):39-45.
25. Ali A, Asghar S, Somoro S. Caries prevalence among school children age 6-14 years in Gadap town Karachi in relation to the awareness of their parents toward oral health. Pak Oral Dent J 2013;33(2):354-8.
26. Sahito N, Sahito MA, Fazlani KA. Prevalence of Dental Caries among School Children in Hyderabad Pakistan. Int J App Sci-Res Rev 2015;2(1):34-8.
27. Reddy K, Sharma A. Prevalence of oral health status in visually impaired children. J Indian Soc Pedod Prev Dent 2011;29(1):25-7.
28. Altun C, Guven G, Akgun OM, Akkurt MD, Basak F, Akbulut E. Oral health status of disabled individuals attending special schools. Eur J Dent 2010;4(4):361-6.
29. Liu Z, Yu D, Luo W, Yang J, Lu J, Gao S, et al. Impact of oral health behaviors on dental caries in children with intellectual disabilities in Guangzhou, China. Int J Environ Res Public Health 2014;11(10):11015-27. DOI: 10.3390/ijerph111011015.
30. Jaber MA. Dental caries experience, oral health status and treatment needs of dental patients with autism. J App Oral Sci 2011;19(3):212-7. DOI: 10.1590/s1678-77572011000300006.
31. Loo CY, Graham RM, Hughes CV. The caries experience and behavior of dental patients with autism spectrum disorder. J Am Dent Assoc 2008;139(11):1518-24. DOI: 10.14219/jada.archive.2008.0078.
32. Medina A, Sogbe R, Gómez‐Rey A, Mata M. Factitial oral lesions in an autistic paediatric patient. Int J Paediatr Dent 2003;13(2):130-7. DOI: 10.1046/j.1365-263x.2003.00440.x.
33. Gupta D, Chowdhury R, Sarkar S. Prevalence of dental caries in handicapped children of Calcutta. J Indian Soc Pedod Prev Dent 1993;11(1):23-7.
34. Vignehsa H, Soh G, Lo G, Chellappah N. Dental health of disabled children in Singapore. Aust Dent J 1991;36(2):151-6.
35. Petersen PE. Sociobehavioural risk factors in dental caries–international perspectives. Community Dent Oral Epidemiol 2005;33(4):274-9. DOI: 10.1111/j.1600-0528.2005.00235.x.
36. Boyce WT, Den Besten PK, Stamperdahl J, Zhan L, Jiang Y, Adler NE, et al. Social inequalities in childhood dental caries: the convergent roles of stress, bacteria and disadvantage. Soc Sci Med 2010;71(9):1644-52. DOI: 10.1016/j.socscimed.2010.07.045.
37. Leghari MA. A pilot study on oral health knowledge of parents related to dental caries of their children-Karachi, Pakistan [dissertation]. Sweden: Umeå University; 2009. [Cited on: July 15, 2019]. Available from URL: https://pdfs.semanticscholar.org/9bf7/48a4a7d8ea8b5d1ea903d1b3149d2bcf2091.pdf.
38. Schreiner M. A simple poverty scorecard for Pakistan. J Asian Afr Stud 2010;45(3):326-49. DOI: 10.1177/0021909609353579.